Individual
MRS. SHELLY SHERICE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3243 E MURDOCK ST, LEVEL G, WICHITA, KS 67208-3052
(316) 962-3102
(316) 962-1886
Mailing address
14421 E SUNDANCE ST, WICHITA, KS 67230-7178
(316) 208-5498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80481
KS
363LF0000X
Family Nurse Practitioner
80481
KS
Other
Enumeration date
10/08/2021
Last updated
02/28/2022
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